Active NPI
Lauren Marie Burgess, FNP
- Family Nurse Practitioner
- Midlothian, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024178026
- Practice address
- 15400 WC Commons Way
Midlothian, VA 23113-7320 - Phone
- (804) 549-5405
- NPI assigned
- Jul 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001256591 | VA | |
| Family Nurse Practitioner | 363LF0000X | 0024178026 | VA | Primary |
Addresses
Primary practice location
15400 WC Commons Way
Midlothian, VA 23113-7320
Mailing address
PO Box 639969
Cincinnati, OH 45263-9969
Other practice location 1
5021 Craig Rath Blvd
Midlothian, VA 23112-6243
Phone (804) 517-1653
Other practice location 2
5875 Bremo Rd Ste 306
Richmond, VA 23226-1934
Phone (804) 281-8303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251119003617 | VA | Practitioner - Nurse Practitioner | 4284126079 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4600 McAuley PL
Blue Ash, OH 45242-4765
4600 McAuley PL
Suite 600
Blue Ash, OH 45242-4778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001256591 | VA | MD | Registered Nurse |
| 0024178026 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Urgent Care LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Richmond Specialty Care LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Richmond Specialty Care LLC | Current | Accepting new patients | |
| Commonwealth Pediatrics | Past | Accepting new patients |
Locations
9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702
5875 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 281-8303
1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304
Interoperability endpoints
- laurenburgess@cpam.allscriptsdirect.net
- lburgess2476994@direct.bsmhealth.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1477112225
VA
-
- Durable Medical Equipment & Medical Supplies
- Midlothian, VA
- NPI 1841029287
-
- Specialist
- Richmond, VA
- NPI 1104917954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1891357331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639969",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452639969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15400 WC COMMONS WAY",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231137320",
"telephone_number": "804-549-5405"
}
],
"practiceLocations": [
{
"address_1": "5021 Craig Rath Blvd",
"address_purpose": "LOCATION",
"city": "Midlothian",
"state": "VA",
"postal_code": "231126243",
"country_code": "US",
"telephone_number": "804-517-1653",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5875 Bremo Rd Ste 306",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232261934",
"country_code": "US",
"telephone_number": "804-281-8303",
"fax_number": "804-287-7801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGESS",
"first_name": "LAUREN",
"middle_name": "MARIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-04",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001256591",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024178026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.